Organization Active NPI

Austin Skeletal Trauma Specialists, PA

  • Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1770511164
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
AUSTIN SKELETAL TRAUMA SPECIALISTS, PA
Practice address
1313 Red River St
Suite 200
Austin, TX 78701-1943
Phone
(512) 391-1751
Fax
(512) 391-1906
NPI assigned
Jun 28, 2006
Last updated
Feb 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Drake Borer, MD
Title
MD/Partner
Phone
(512) 391-1751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

1313 Red River St
Suite 200
Austin, TX 78701-1943

Mailing address

1313 Red River
Suite 200
Austin, TX 78701-1900
Phone (512) 391-1751

Other identifiers 5

IdentifierTypeStateIssuer
00588UOtherTXPTAN
100781704MedicaidTX
8H3921OtherTXBLUE CROSS BLUE SHIELD
8H3920OtherTXBLUE CROSS
166061501MedicaidTX

National Provider Directory

National Provider Directory

Locations

1313 Red River St
#200
Austin, TX 78701
Phone (512) 391-1751

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1770511164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 RED RIVER",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011900",
            "telephone_number": "512-391-1751",
            "fax_number": "512-391-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 RED RIVER ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011943",
            "telephone_number": "512-391-1751",
            "fax_number": "512-391-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN SKELETAL TRAUMA SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "BORER",
        "authorized_official_first_name": "DRAKE",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "512-391-1751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00588U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100781704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8H3921",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8H3920",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166061501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.